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that are working. st. johns hospital in springfield, took their medicare population and with quality control and customer satisfaction, they were able to reduce $17 million in medicare payment that's were owed. as a result, they got a bonus of $4 million. that's what we need to do in a capitalistic system. spending less money rather than incentivizing more treatment. >> jonathan dine >> like many of the government entitlement programs, medicare, medicaid are all coming to a cusp. they are coming towards a financial cliff where we will not going to be able to save them. i would propose block granting the states money based on population to deliver healthcare for seniors and people over 55. i feel that the states will be more closer to people of the state actually more listen to the legislator and provide you better service. any time you expect the government to manage your money efficiently, we can look at the record of spending mon wrecklessly with mismanagement. i feel hadwe really need to make tough choice or we will all be left with nothing. >> congressman an and senator mccaskill privati
office. john mentioned the new legislation that was signed into law at the beginning of july, july 9th this year. that statute did enhance criminal penalties in a couple of different ways. there is a general intellectual property crime statute. what congress did was, in the fda amendments, they sneaked an enhancement, specifically for counterfeit drugs. they raised the penalty to 20 years and $5 million for a first offender as an individual. it goes up from there. the others think that those amendments did was use the food and drug cosmetic act definition of what a counterfeit drug is and apply that to the general crime statute. it makes it a little easier under the title 18 statute to prosecute. he did not have to get that patent and trademark stamp, a few extra things that we would need at trial to show that drug is counterfeit. they also added a new provision, we will see how it works out, specifically geared to adulterated drugs. it is a 20 year $1 million maximum sentence. it does add an extra element that we have to prove. on the other hand, and a lot of these counterfeit drugs a
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